Lessell Simmons, Kim Jonathan W, Hatton Mark P, Stemmer-Rachamimov Anat, Thiagalingham Sureka, Rubin Peter A D
Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, USA.
J Neuroophthalmol. 2007 Jun;27(2):104-6. doi: 10.1097/WNO.0b013e318064e495.
A 28-year-old man with a biopsy-proven benign intraorbital optic nerve sheath meningioma developed recurrent clinical manifestations of ipsilateral retrobulbar inflammation 9 years after undergoing postoperative radiation therapy. Debulking of the tumor 11 years after the original surgery again revealed no pathologic signs of inflammation. Whether growth of tumor, surgery, radiation, or edema triggered the inflammatory manifestations is unclear. Our case affirms that primary optic nerve meningiomas may rarely cause episodic manifestations resembling those of idiopathic orbital inflammation that resolve with corticosteroid treatment.
一名28岁男性，经活检证实患有眶内视神经鞘膜良性脑膜瘤，在接受术后放疗9年后出现同侧球后炎症的复发临床表现。初次手术后11年对肿瘤进行减瘤手术，再次未发现炎症的病理迹象。尚不清楚是肿瘤生长、手术、放疗还是水肿引发了炎症表现。我们的病例证实，原发性视神经脑膜瘤可能很少引起类似特发性眼眶炎症的发作性表现，且这些表现可通过皮质类固醇治疗得到缓解。
